EMPLOYER HEALTH AND SAFETY ASSESSMENTEMPLOYER HEALTH AND SAFETY ASSESSMENTEMPLOYER HEALTH AND SAFETY ASSESSMENTCompany nameNumber of employeesNature of businessMain ContactHealth and Safety contactOccupational activities Name of employee(s) undertaking a programme through Achievement Training Limited:Achievement Training Tutor name:- Select -Adele HoskingBeccy YoungBrittany HarronCarol CoulingChloe GregoryClaire LambertClare AhmadiClare BrownDan WilliamsDave HatherallGeorgina HolidayHayley CoombesHelen BraidJackie VincentJade SmithJane SedgemoreJane WilliamsJill WilliamsKady McMinnKatie O’ConnorKatrina GraingerLeigh LittleyLena PowellLinda FriendLiz BarnesMaisie ParsonsMark CoombsMatt GriceMia HorneMichelle TippettPatricia BlackmanRachel BushRachel NichollsRebecca KnightRebecca PopeRobert MillerSally SharpeSarah LomaxWorkplace AddressAddress Line 1Address Line 2CityPost codePhone/MobileIs the employers’ liability insurance policy current and is other insurance cover in place as appropriate to the business’ undertaking (e.g. public liability and vehicle insurance)? Yes NoInsurer's NamePolicy NumberExpiry DateDoes the employer display appropriate health and safety signs and notices? Yes NoComments Has the employer implemented safeguards to protect young / vulnerable people within the organisation? Yes NoComments Is there a current health and safety policy in place? (written policy statement mandatory when 5 or more employees) Yes NoPLEASE NOTE: As you have selected that there is not a current health and safety policy in place, we will be unable to process this Health and Safety submission. Please come back and complete this form once you have a health and safety policy in place. Comments Have adequate arrangements for first aid equipment and / or facilities been made? Yes NoComments Are safe electrical systems and electrical equipment provided and maintained? Yes NoComments Is PPE/C provided, free of charge, to employees / learners (if determined appropriate) and replaced when required? Yes NoComments Has a suitable and sufficient fire risk assessment been carried out? Yes NoComments Are adequate arrangements in place for dealing with fires and other emergencies? i.e. Fire Extinguishers and Fire Exits clears etc. Yes NoComments Signature of the Employer or their Representative Sign HerePrint name Job titleDateAssessment undertaken by:Job titleDateSubmit Form
